Michael Andrisani MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

001193 Issued in CA

Legal business name

MICHAEL ANDRISANI MD INC

Practice address

8600 La Mesa Blvd
La Mesa, CA 91941-3972

Phone

(619) 469-3822

NPI assigned

Aug 26, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Andrisani, MD

Title

President

Phone

(619) 469-3822

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1013900810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413972",
            "telephone_number": "619-469-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413972",
            "telephone_number": "619-469-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ANDRISANI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "ANDRISANI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-469-3822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "001193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "12916136",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Les Allen Mershon, PA-C
• Ethan John Messer, MA
• Nechelle Fabiana Metayer, NP-C
• Gary Lee Meyer
• Joanne Meyer, PA-C
• Michael E Musicant MD
• Michael H. Fenn, M.D., Inc.
• Michael H. Michalski, M.D., a Medical Corporation
• Michael Lajin, M.D., Inc
• Michael P. Koumjian, MD, a Professional Corporation

• Family Medicine Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.